Endoscopy 2022; 54(S 01): S240
DOI: 10.1055/s-0042-1745257
Abstracts | ESGE Days 2022
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EUS-GUIDED JEJUNO-JEJUNAL ANASTOMOSIS AS SALVAGE THERAPY FOR A COMPLEX BENIGN GASTRIC OUTLET OBSTRUCTION

E. Perez-Cuadrado-Robles
1   Georges-Pompidou European Hospital, Department of Gastroenterology, Paris, France
,
G. Perrod
2   Georges-Pompidou Euhropean Hospital, Gastroenterology, Paris, France
,
A. Lansier
3   Georges-Pompidou European Hospital, Radiology, Paris, France
,
J. Palle
4   Georges-Pompidou European Hospital, Oncology, Paris, France
,
A. Mariani
5   Georges-Pompidou European Hospital, Department of Surgery, Paris, France
,
C. Cellier
1   Georges-Pompidou European Hospital, Department of Gastroenterology, Paris, France
,
G. Rahmi
2   Georges-Pompidou Euhropean Hospital, Gastroenterology, Paris, France
› Author Affiliations
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Lumen-apposing metal stents (LAMS) are gaining ground in the treatment of benign gastric outlet obstruction (GOO). A 76 years-old male patient with recurrent GOO following a surgical gastrojejunostomy. An upper-GI endoscopy revealed a kinking of the proximal efferent limb resulting in a long complex stricture.

First, a 7-French catheter was palced in the alimentary limb. Subsequently, an endoscopic ultrasound (EUS) scope was advanced into the afferent limb. The efferent limb was punctured with a 19-gauge needle. Finally, a wire-guided 20mm LAMS was used to perform the jejuno-jejunal anastomosis. The patient recovered well, with solid diet 48h later. No delayed complications.



Publication History

Article published online:
14 April 2022

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